Indonesian Journal of Medicine (IJM)
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The Effectiveness of Exercise Therapy in Reducing Pain, Joint Range of Motion and Functional Disability in Patients with Frozen Shoulder at Causa Primary Adhesive Capjualis: A Systematic Review: The Effectiveness of Exercise Therapy in Reducing Pain, Joint Range of Motion and Functional Disability in Patients with Frozen Shoulder at Causa Primary Adhesive Capjualis: A Systematic Review
No full textBackground: Adhesive capelusitis is a condition of inflammation, adhesions and shortening of the joint capsule resulting in significant limitations in joint movement from active and passive movements, thus disrupting human mobility and activities. The severity of Adhesive Capjualitis varies from mild to severe pain. The prevalence of Adhesive Capjualitis is 2%-5% of the entire population and occurs more often in women than men. Adhesive Capjualitis treatment has many options, namely conservative and surgical. Exercise therapy has many benefits for the body, providing exercise therapy for Adhesive Capjualitis can improve disability, prevent increasing severity and optimize health status and motor function. This study aims to review the effectiveness of exercise therapy in reducing pain, increasing joint range of motion and functional ability in patients with primary adhesive capelusitis.
Subjects and Methods: A literature search was carried out using three databases PubMed, Google Scholar and PEdro which recorded studies on exercise therapy in patients with Frozen Shouldet at causa Primary Adhesive Capjualis in the period 2013-2023. PRISMA was used as a writing rule and methodological quality was checked with the PEDro scale.
Results: Seventeen studies describing Exercise Therapy in Adhesive Caplaluis were included in this study, the methodology assessment using the PEDro scale was obtained with a score in the range of 4-10/10 with 2 articles being perfect, 11 articles being good, and 4 articles being adequate.
Conclusion: Exercise therapy appears to be able to effectively reduce pain, increase range of motion and functional ability in primary Adhesive Capjualitis
Keywords: Frozen Shoulder, Adhesive Capjualitis, Exercise Therapy, ROM, Functional Disabilit
Effect of Nerve Mobilization in Reducing Pain in Patients with Guyon Canal Syndrome
Get PDFBackground: Guyon Canal Syndrome is a peripheral ulnar neuropathy caused by lesions of the distal ulnar nerve, specifically in the Guyon's tunnel which is at the base of the hypothenar eminence where the ulnar nerve branches and is susceptible to compression. These tunnel structures are frequently subject to cycling-related injuries, sudden compression or repetitive vibration. Guyon Canal Syndrome causes loss of motor, sensory function, or a combination of motor and sensory function. The aim of this research is to determine the effect of nerve mobilization on reducing pain in Guyon Canal Syndrome.
Subjects and Method: This research is a quasi-experimental research conducted at the Grhasia Mental Hospital, Yogyakarta Special Region, in June-July 2023. A total sample of 8 patients diagnosed with Guyon canal syndrome was selected using purposive sampling. The sample was divided into 2 groups (1) 4 people received nerve mobilization and (2) 4 people received standard care. The dependent variable is pain. The independent variable is nerve mobilization. Pain was measured using the Quadruple Visual Analogue Scale (QVAS). The difference in pain scores before and after intervention in the two groups was tested using an independent t test.
Results: The average difference in pain score reduction in the intervention group (Mean= -11.75; SD= 5.68) was greater than the control (Mean= -3.5; SD= 11.39), but not statistically significant (p= 0.242).
Conclusion: The average difference in pain score reduction in the intervention group was greater than the control, but not statistically significant.
Keywords: Guyon canal syndrome, pain, nerve mobilizatio
Factors Influencing Cervical Cancer Screening Participation in Female: Systematic Review
Get PDFBackground: Cervical cancer is the second leading cause of morbidity and mortality in the world. This can be influenced by several things such as lack of willingness to participate in cervical cancer screening. This review aims to explore factors that influence participation in cervical cancer screening.
Subjects and Method: This study is a systematic review with PICO covering: (1) Population: women; (2) Intervention: factors influencing participation; (3) none; (4) level of participation in cervical cancer screening. The databases used are PubMed and JSTOR. Inclusion criteria include full text in Indonesian and English with research subjects in women with cervical cancer. Exclusion criteria in this study were articles published less than five years ago.
Results: A total of 21 articles stated that several factors such as interpersonal, intrapersonal, community, organizational, and public policy can influence participation in cervical cancer screening.
Conclusion: Intervention strategies based on the reviewed factors need to be improved to reduce cervical cancer morbidity and mortality rates
Clinical Outcomes Comparison in Administration of Secretome vs Hyaluronic Acid in Patients with Knee Osteoarthritis Kellgren-Lawrence Grade I-III
Get PDFBackground: The prevalence of OA in Indonesia is predicted to reach more than 20% of the population aged over 60 years in 2050, with a high risk of disability. So far, early treatment of osteoarthritis in the form of administering hyaluronic acid has not been completely satisfactory and tends to be progressive until ending in more invasive operative therapy. This study aimed to compare the clinical outcomes between secretome injection and hyaluronic acid in patients with Kellgren-Lawrence grade I-III knee osteoarthritis.
Subjects and Method: This was a single-blind experimental study. This study was conducted in the orthopedic polyclinic at General Hospital Prof. Dr. I.G.N.G. Ngoerah Bali. A total sample of 36 knee osteoarthritis patients was selected using permuted block sampling with randomization. The sample was divided into two groups, (1) secretome (intervention group) and (2) hyaluronic acid (control group). The independent variables were secretome injection and hyaluronic acid injection. The dependent variable was pain. Pain was measured using Western Ontario and McMaster University (WOMAC), Knee Osteoarthritis Outcome Score (KOOS), Visual Analog Score (VAS), and Patient-Reported Outcome Measure (PROM).
Results: Based on gender, there are more women than men and the right foot is more affected at 58.3%. Functional score parameters in each secretome and hyluronic acid group were compared between the 3rd and 6th months of follow-up. Pain in the hyaluronic acid group was lower than in the secretome group.
Conclusion: Hyaluronic acid has better effect in pain reduction than secretome. Further studies could explore the underlying mechanisms and potential long-term effects to better understand these differences in pain outcomes
The Relationship between Social Capital and Burnout in Energy Health Professionals: A Meta-Analysis
Get PDFBackground: Social capital is referred to as public resources and capital that can be accessed through social relationships and social involvement of the community to work together to achieve common goals in various groups and organizations. Burnout Syndrome experienced by health workers is a situation when health workers show behavior such as giving unpleasant responses to patients, delaying work, getting easily angry when colleagues or patients ask simple questions, complaining of feeling tired and dizzy quickly and worse, not caring about work and surrounding conditions. This research aims to estimate the relationship between social capital and burnout in professional health workers.
Subjects and Method: This research is a systematic review and meta-analysis research using the PRISMA diagram. Article searches were carried out based on the PICO Model eligibility criteria. P= Health workers; I= Social capital; C= Low social capital; O= Fatigue. The articles used come from 3 databases, namely: PubMed, Google Scholar, and ScienceDirect. With keywords including "social capital" AND "burnout" AND "health workers" AND "cross section study". Filtered articles that met the requirements were analyzed using the RevMan 5.3 application.
Results: A total of 11 case-control observational research articles as a source for meta-analysis of the relationship between social capital and burnout in professional health workers. This research shows that health workers with low social capital have a risk of experiencing burnout 1.86 times compared to health workers with high social capital, and the results are statistically significant (aOR= 1.86; 95% CI= 1.09 to 3.17; p< 0.02). Heterogeneity of research data shows I2= 89% so that the data distribution is declared heterogeneous (random effect model).
Conclusion: Meta-analysis of 11 cross-sectional studies concluded that social capital increases burnout in health workers.
Keywords: Social capital, burnout, health workers
Effects of Plyometric Zig-Zag Run and Single Leg Speed Hop Exercises on Agility and Leg Muscles Explosive Power in Football Players
Get PDFBackground: Futsal is a ball game played by each of 5 people. With the aim of putting the ball into the opponent's goal. Agility and explosive power are required, plyometrics are used to increase lower body muscle power and increase explosive power by training muscles to perform more movements in a shorter time. This study aimed to determine the effects of plyometric zig-zag run and single leg speed hop exercises on increasing agility and leg muscle explosive power in futsal players.
Subject and Method: This was a quasi experiments with no control group. The study was carried out in Kendal, Central Java, from May to June 2023. Total sample of 21 futsal players was selected simple random sampling. The dependent variable was leg muscle agility and explosive power. The independent variables were plyometric zig-zag run and single leg speed hop exercises. Leg muscle agility was measured using the agility t-test. Leg musce explosive power was measured using standing broad jump test. The data were tested using paired t-test.
Result: Mean score of leg muscle agility after plyometric zig-zag run was faster (Mean= 9.86 sec.; SD= 0.58) than before (Mean= 10.03 sec.; SD= 0.53), p<0.001. Mean score of leg muscle explosive power after single leg speed hop exercises was higher (Mean= 217.05 cm; SD= 12.46) than before (Mean= 200.67 cm; SD= 10.89), p<0.001.Conclusion: Plyometric zig-zag run improves leg muscle agilty. Single leg speed hop exercises improves leg muscle explosive power.
Keyword: exercise, plyometric, zig-zag run, single leg speed hop, agility, muscle explosive powe
Decline in Estrogen Levels and Its Impact on Muscle Strength in Elderly Women: A Systematic Review
Get PDFBackground: In the musculoskeletal system, old age is closely related to a decline in muscle strength. Decreased muscle strength in women is caused by the influence of changes in estrogen hormone levels. Several studies were conducted to see how estrogen affects muscle mass, muscle function, muscle damage, muscle regeneration, inflammation in the body, mitochondrial funct¬ion, and substrate metabolism. Therefore, the study was carried out with the aim of conducting further study focusing on estrogen on muscle strength in elderly women.Subjects and Method: The study was conducted with a systematic review design. The study was carried out in accordance using PRISM guidelines with the PICO formula. Population: elderly women, Intervention: estrogen hormone, Outcome: muscle weakness. Article searches were carried out through several databases, namely PubMed, Cochrane Library, Scopus Database, and Physio-therapy Evidence Database (PEDro) with the keywords: estrogen OR "estrogen hormone" OR "muscle strength" OR "risk of falls" OR "menopause" OR "women elderly." Risk of bias assessment was carried out according to the study design of each article.Results: There were 10 articles involved in this study. The article has a cross-sectional and longitudinal study design. Articles had a low and medium risk of bias assessment. 6 articles stated that there was a relationship between changes in estrogen hormone levels and muscle weakness. 4 articles stated that there was no relationship between changes in estrogen hormone levels and muscle weakness. Conclusion: There is a inconsistent relationship between estrogen levels and muscle strength in elderly women
Evaluating Compliance with Traditional Herbal Treatments in Type 2 Diabetes Mellitus Patients
Get PDFBackground: The management of diabetes mellitus is often faced with the challenge of adherence to antidiabetic herbs. Poor adherence to diabetes medication increases the risk of complications and death. This study aims to analyze the determinants related to treatment adherence in Type 2 DM patients.
Subject and Method: The cross-sectional study was carried out at UPF Yankestrad Dr. Sardjito Tawangmangu Hospital. A total of 201 adult patients with Type 2 DM were selected in this study. The dependent variable is treatment adherence in Type 2 DM patients. The independent variables were education, knowledge, access to health services, family support, income, and side effects of treatment. Data was collected using questionnaires. Data were analyzed by double linearregression.
Result: There was a statistically significant positive association between knowledge and medication adherence (b = 0.19; 95% CI = 0.12 to 0.26; p&lt;0.001); access to healthcare (b = 0.37; 95% CI = 0.26 to 0.47 p&lt;0.001); family support (b = 0.29; 95% CI = 0.20 to 0.39; p&lt;0.001); income (b = 0.15; 95% CI = 0.01 to 0.29; p= 0.030); and there was a negative and statistically significant association between adverse events and medication adherence (b = -0.33; 95% CI = -0.49 up to -0.18; p&lt;0.001). The model fit between the independent variables included in the linear multiple regression analysis model together was able to explain the variation in treatment adherence by 67.12% (Adj R-squared= 67.12%).
Conclusion: Treatment adherence in Type 2 DM patients is positively related to knowledge, access to services, family support, and income. The independent variables included in the linear multiple regression analysis model together were able to explain the variation of treatment adherence by 67.12% (Adj R-squared = 67.12%)
Systematic Review of Electromyography for Assessing Physiotherapy Outcomes in Children with Cerebral Palsy
Get PDFBackground: Cerebral palsy is a disorder that affects the movement and posture of the brain of a developing fetus or baby. The prevalence is around 1-4 per 1000 live births globally, with 9 birth cases in Indonesia. CP children experience various sensory and motor disorders. Various interventions require a tool that can reliably detect the success of therapy. Electromyography (EMG) is an objective method for understanding muscle activity, helps in determining the muscles involved in movement, and provides related information about muscle activity in response to therapy. This study aimed to determine EMG in evaluating the results of therapy.
Subjects and Method: A literature search was carried out using 2 databases, namely PubMed and Google Scholar regarding the use of EMG to assess or analyze physiotherapy interventions given to children with CP from the period 2018 - 2023. Using PRISMA as a writing rule.
Results: 8 studies described the use of EMG in physiotherapy, 3 articles looked at muscle activity, 3 articles assessed muscle activation, 1 article assessed spastic responses, and 1 article looked at motor neuron excitatory pools.
Conclusion: EMG helps physiotherapy in seeing muscle activity, muscle activation, seeing the spastic response of a muscle, and measuring the collection of excitatory motor neurons
The Effect of a Combination of Ultrasound and Stretching on the Pain Scores of Piriformis Syndrome Patients at the Padas Health Center, Ngawi Regency
Get PDFBackground: Piriformis Syndrome is a pain in the pelvic area caused by prolonged or excessive contraction of the piriformis muscle so that the sciatic nerve is compressed or compressed. The physiotherapy treatment used is a combination of ultrasound and stretching. This study aimed to determine the effect of a combination of ultrasound and stretching in reducing pain in piriformis syndrome patients.
Subjects and Method: The design of this study was a one-group pre-experimental and post-test design with 20 respondents who met the inclusion and exclusion criteria using a purposive sampling technique carried out in September-October 2023. Respondents had their pain scale measured using VAS (Visual Analog Scale) before and after physiotherapy treatment, namely; giving a combination of ultrasound and stretching 2 times a week for 4 weeks.
Results: This study used the paired sample test hypothesis test with the median VAS value; (1) pre by 5.70; (2) posts by 3.35 and (3) P value by 0.00.
Conclusion: It can be concluded that the combination of ultrasound and stretching is effective in reducing pain in cases of piriformis syndrome